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Japan - Health Care Financing and Expenditure

Page history last edited by Cain Farmer 10 years, 8 months ago

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Total Health Care Spending (Per Capita US$) & Year

 

  • Overall = 259,300 yen = 2,677 USD
  • Under 65 yrs
    • 0-14 =129,500 yen = 1,337 USD
    • 15-44 = 103,500 yen = 1,069 USD
    • 45-64 = 250,900 yen = 2,591 USD
  • Over 65 yrs = 655,700 yen = 6,771 USD

 

Total Health Care Spending as (% of GDP) & Year

 

  • Approximately 8%

 

Health Care Funders (Percentage of total costs)

 

  • 25% National Government
  • 8% Local Government
  • 22% Employer premium
  • 30% Employee/Insured premium
  • 15% out of pocket

(1999)

 

Health Care Administrators or Payers

 

  • Numerous, depending on place of employment
  • But all administered and regulated by Ministry of Health, Labor and Welfare

 

Secondary Insurance Providers

 

  • Provides defined cash benefits only upon occurrence of event
  • Major private insurers include: Nippon Life Insurance, MeijiYasuda Life Insurance, Tokio Marine, Sompo Japan, etc.

 

Provider Payment Methods

 

  • Primarily FFS
  • Limited introduction of new declining per diem payment for inpatient admissions (DPC) to incentivize shorter stays
  • Hospital physicians are salaried
  • Solo clinic physicians are dependent on insurance receipts and copayments for services rendered
  • Local or national budgets for services to manage health care spending?
    • Both, but moving towards more local management

 

Key Financing & Expenditure Trends

 

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